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KENNETH MIDDLEBROOKS SAC-IT
NPI 1518780758
Counselor - Addiction (Substance Use Disorder) in Waukesha, WI

Active since November 06, 2024
2422 N GRANDVIEW BLVD, WAUKESHA, WI 53188(262) 549-6600 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kenneth Middlebrooks Sac-it NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH MIDDLEBROOKS SAC-IT (NPI 1518780758) is an individual addiction (substance use disorder) provider in Waukesha, Wisconsin, licensed in Wisconsin (20353-130) and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1518780758
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameKENNETH MIDDLEBROOKSCredential: SAC-IT
Location Address2422 N GRANDVIEW BLVDWaukesha, WI 53188-6105
Mailing Address2422 N Grandview BlvdWaukesha, WI 53188-6105 · (262) 549-6600
Phone(262) 549-6600
Sole ProprietorNo
Enumeration DateNovember 6, 2024
NPPES CertifiedNovember 6, 2024
✔ NPI 1518780758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WI · 20353-130
2422 N GRANDVIEW BLVD, Waukesha, WI 53188
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELISSA M DERKSEN LPN
Licensed Practical Nurse
2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188
Waukesha County (262) 549-6600
MAUREEN E BURKE LPN
Licensed Practical Nurse
2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188
Waukesha County (262) 549-6600
MARI CAMILLA HANG CSAC
Counselor (Addiction (Substance Use Disorder))
2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188
Waukesha County (262) 549-6600
ERIN MURPHY SAC-IT
Counselor (Addiction (Substance Use Disorder))
2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188
Waukesha County (262) 549-6600
LISA DIANE SHARKEY LPN
Licensed Practical Nurse
2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188
Waukesha County (262) 549-6600
DEBORAH LYNN ROZELLE LPN
Licensed Practical Nurse
2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188
Waukesha County (262) 549-6600
AMY MOLINSKI SAC-IT
Counselor (Addiction (Substance Use Disorder))
2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188
Waukesha County (262) 549-6600
VICTORIA CHAMPEAU LPN
Licensed Practical Nurse
2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188
Waukesha County (262) 549-6600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Middlebrooks's NPI number?

The NPI number for Kenneth Middlebrooks is 1518780758. It was assigned to this individual provider in the NPPES registry on November 6, 2024.

Where is Kenneth Middlebrooks located?

Kenneth Middlebrooks practices at 2422 N Grandview Blvd, Waukesha, WI 53188. The listed phone number is (262) 549-6600.

What is Kenneth Middlebrooks's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kenneth Middlebrooks was last updated on November 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.